Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps
Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equ...
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| Autor*in: |
Haglund, Michael M. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2011 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2011 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 35(2011), 6 vom: 13. Apr., Seite 1175-1182 |
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| Übergeordnetes Werk: |
volume:35 ; year:2011 ; number:6 ; day:13 ; month:04 ; pages:1175-1182 |
| Links: |
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| DOI / URN: |
10.1007/s00268-011-1080-0 |
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SPR003433471 |
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| 520 | |a Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. | ||
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10.1007/s00268-011-1080-0 doi (DE-627)SPR003433471 (SPR)s00268-011-1080-0-e DE-627 ger DE-627 rakwb eng Haglund, Michael M. verfasserin aut Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2011 Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. Continue Medical Education (dpeaa)DE-He213 Spinal Cord Tumor (dpeaa)DE-He213 Training Camp (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 National Referral Hospital (dpeaa)DE-He213 Kiryabwire, Joel aut Parker, Stephen aut Zomorodi, Ali aut MacLeod, David aut Schroeder, Rebecca aut Muhumuza, Michael aut Merson, Michael aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2011), 6 vom: 13. Apr., Seite 1175-1182 (DE-627)SPR003391159 nnns volume:35 year:2011 number:6 day:13 month:04 pages:1175-1182 https://dx.doi.org/10.1007/s00268-011-1080-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2011 6 13 04 1175-1182 |
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10.1007/s00268-011-1080-0 doi (DE-627)SPR003433471 (SPR)s00268-011-1080-0-e DE-627 ger DE-627 rakwb eng Haglund, Michael M. verfasserin aut Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2011 Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. Continue Medical Education (dpeaa)DE-He213 Spinal Cord Tumor (dpeaa)DE-He213 Training Camp (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 National Referral Hospital (dpeaa)DE-He213 Kiryabwire, Joel aut Parker, Stephen aut Zomorodi, Ali aut MacLeod, David aut Schroeder, Rebecca aut Muhumuza, Michael aut Merson, Michael aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2011), 6 vom: 13. Apr., Seite 1175-1182 (DE-627)SPR003391159 nnns volume:35 year:2011 number:6 day:13 month:04 pages:1175-1182 https://dx.doi.org/10.1007/s00268-011-1080-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2011 6 13 04 1175-1182 |
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10.1007/s00268-011-1080-0 doi (DE-627)SPR003433471 (SPR)s00268-011-1080-0-e DE-627 ger DE-627 rakwb eng Haglund, Michael M. verfasserin aut Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2011 Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. Continue Medical Education (dpeaa)DE-He213 Spinal Cord Tumor (dpeaa)DE-He213 Training Camp (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 National Referral Hospital (dpeaa)DE-He213 Kiryabwire, Joel aut Parker, Stephen aut Zomorodi, Ali aut MacLeod, David aut Schroeder, Rebecca aut Muhumuza, Michael aut Merson, Michael aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2011), 6 vom: 13. Apr., Seite 1175-1182 (DE-627)SPR003391159 nnns volume:35 year:2011 number:6 day:13 month:04 pages:1175-1182 https://dx.doi.org/10.1007/s00268-011-1080-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2011 6 13 04 1175-1182 |
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10.1007/s00268-011-1080-0 doi (DE-627)SPR003433471 (SPR)s00268-011-1080-0-e DE-627 ger DE-627 rakwb eng Haglund, Michael M. verfasserin aut Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2011 Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. Continue Medical Education (dpeaa)DE-He213 Spinal Cord Tumor (dpeaa)DE-He213 Training Camp (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 National Referral Hospital (dpeaa)DE-He213 Kiryabwire, Joel aut Parker, Stephen aut Zomorodi, Ali aut MacLeod, David aut Schroeder, Rebecca aut Muhumuza, Michael aut Merson, Michael aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2011), 6 vom: 13. Apr., Seite 1175-1182 (DE-627)SPR003391159 nnns volume:35 year:2011 number:6 day:13 month:04 pages:1175-1182 https://dx.doi.org/10.1007/s00268-011-1080-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2011 6 13 04 1175-1182 |
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10.1007/s00268-011-1080-0 doi (DE-627)SPR003433471 (SPR)s00268-011-1080-0-e DE-627 ger DE-627 rakwb eng Haglund, Michael M. verfasserin aut Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2011 Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. Continue Medical Education (dpeaa)DE-He213 Spinal Cord Tumor (dpeaa)DE-He213 Training Camp (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 National Referral Hospital (dpeaa)DE-He213 Kiryabwire, Joel aut Parker, Stephen aut Zomorodi, Ali aut MacLeod, David aut Schroeder, Rebecca aut Muhumuza, Michael aut Merson, Michael aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2011), 6 vom: 13. Apr., Seite 1175-1182 (DE-627)SPR003391159 nnns volume:35 year:2011 number:6 day:13 month:04 pages:1175-1182 https://dx.doi.org/10.1007/s00268-011-1080-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2011 6 13 04 1175-1182 |
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Haglund, Michael M. Kiryabwire, Joel Parker, Stephen Zomorodi, Ali MacLeod, David Schroeder, Rebecca Muhumuza, Michael Merson, Michael |
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surgical capacity building in uganda through twinning, technology, and training camps |
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Surgical Capacity Building in Uganda Through Twinning, Technology, and Training Camps |
| abstract |
Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. © Société Internationale de Chirurgie 2011 |
| abstractGer |
Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. © Société Internationale de Chirurgie 2011 |
| abstract_unstemmed |
Background Neurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country’s National Hospital, combined with dedicated comprehensive surgical training camps. Methods Neurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program. Results During the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p < 0.0001). Multiple cases performed in a single day increased eightfold (p < 0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p > 0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p < 0.0001). Conclusions Through a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest. © Société Internationale de Chirurgie 2011 |
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